The Influence of Context on Implementation and Improvement: Protocol for a Mixed Methods, Secondary Analyses Study.

Area of Science:

• Health Services Research
• Knowledge Translation Science
• Implementation Science

Background:

• Older adult well-being presents significant societal challenges.
• Effective knowledge translation of evidence-based practices is crucial for improving care quality and provider work lives.

Purpose of the Study:

• To understand the roles of organizational context and facilitation in implementation success.
• To advance knowledge translation science by testing the Promoting Action on Research Implementation in Health Services framework.
• To optimize implementation success by tailoring organizational context and facilitation elements.

Main Methods:

• Secondary analysis of 15 years of longitudinal data from the Translating Research in Elder Care (TREC) program.
• Sequential exploratory and confirmatory mixed methods design using qualitative and quantitative data.
• Iterative analysis involving hypothesis generation from qualitative data, quantitative modeling, and action cycles, with stakeholder and scientific advisor input.

Main Results:

• Study funded by the Canadian Institutes of Health Research.
• Ethics approval obtained from the University of Alberta.
• Results of secondary analyses are anticipated by the end of 2023.

Conclusions:

• The project will enhance understanding of context and facilitation's roles in implementation success.
• Findings will elucidate the mechanisms through which context and facilitation influence resident and staff quality outcomes.
• Insights will inform strategies for successful intervention implementation in nursing homes.